• Archives of Plastic Surgery
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• v.36 no.6
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• pp.720-726
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• 2009

Purpose: Fasciocutaneous flap with random pattern flap has limitation in mobility and length - width ratio. This characteristic is more pronounced in lower extremity which has relatively poor vascularity. Perforator based flap in lower extremity reconstruction has various advantages as a axial flap, allowing abundant blood supply and widening of mobility range. So if it is not a case of wide defect, free flap can be replaced by perforator based flap. Methods: From April 2007 to March 2009, 18 cases of perforator flap were performed. 8 had defect in upper 1/3 of calf, 6 in middle 1/3, and 4 in lower 1/3. In 10 cases island flap were used, 3 case had transposition flap, 2 cases used advancement flap, 2 case had propeller flap and 1 case had rotation flap. Results: 17 cases survived without flap necrosis. Partial flap necrosis occurred in 1 case, so secondary split thickness skin graft was done. Chronic wound with pseudomonas infection occurred in 1 case, but it was completely cured with conservative treatment. Conclusion: Perforator based flap is useful in lower extremity reconstruction because of relative freedom in changing the size and thickness of the flap depending on the recipient site, good mobility, and abundant vascularity. And donor site morbidity can be minimized. Lower extremity reconstruction using perforator based flap is a good method because it can minimize the complication and obtain effective result.

• The Journal of Advanced Prosthodontics
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• v.12 no.4
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• pp.233-238
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• 2020

PURPOSE. This study aims to compare the marginal fitness of two types of implant-supported fixed dental prosthesis, i.e., cementless fixation (CL.F) system and cement-retained type. MATERIALS AND METHODS. In each group, ten specimens were assessed. Each specimen comprised implant lab analog, titanium abutment fabricated with a 2-degree tapered axial wall, and zirconia crown. The crown of the CL.F system was retained by frictional force between abutment and relined composite resin. In the cement-retained type, zinc oxide eugenol cement was used to set crown and abutment. All specimens were sterilized with ethylene oxide, immersed in Prevotella intermedia culture in a 50 mL tube, and incubated with rotation. After 48 h, the specimens were washed thoroughly before separating the crown and abutment. The bacteria that penetrated into the crown-abutment interface were collected by washing with 500 µL of sterile saline. The bacterial cell number was quantified using the agar plate count technique. The BacTiter-Glo Microbial Cell Viability Assay Kit was used to measure bacterial adenosine triphosphate (ATP)-bioluminescence, which reflects the bacterial viability. The t-test was performed, and the significance level was set at 5%. RESULTS. The number of penetrating bacterial cells assessed by colony-forming units was approximately 33% lower in the CL.F system than in the cement-retained type (P<.05). ATP-bioluminescence was approximately 41% lower in the CL.F system than in the cement-retained type (P<.05). CONCLUSION. The CL.F system is more resistant to bacterial penetration into the abutment-crown interface than the cement-retained type, thereby indicating a precise marginal fit.

• The Journal of the Korean dental association
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• v.52 no.12
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• pp.734-743
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• 2014

Objectives: By introduced reciprocation motion file in dentistry, dentists benefit simple canal shaping procedure and time-saving. But, reciprocation motion generates uncomfortable vibration to doctors and patients. Because there was no study about this consideration, this study compared vibration pattern and power generated from reciprocation motion motor and conventional rotary motor. Materials & Methods: One conventional rotary motor; X-Smart (Dentsply Maillefer, Ballaigues, Switzerland); and two reciprocating motors; WaveOne Motor (Dentsply Maillefer, Ballaigues, Switzerland) and X-SMART PLUS (Dentsply Maillefer, Ballaigues, Switzerland); were used in this study. Triaxial $ICP^{(R)}$ Accelerometer (Model 356A12, PCB piezotronics, New York, USA) was attached on motor's handpiece head, and was measured tri-axial vibratory acceleration with NI Sound and Vibration Assistant 2009 software (National Instruments, Texas, USA). Mean vibratory acceleration and maximum vibratory acceleration was measured on fixed position and handed position. The results of vibratory acceleration were statistically analyzed using ANOVA and multiple comparisons are made using Turkey's test at p<0.05 level. Results: Reciprocating motors showed higher mean vibratory acceleration and maximum vibratory acceleration than conventional rotary motor (p<0.05). Between reciprocating motors, X-SMART PLUS had lower mean vibratory acceleration and maximum vibratory acceleration than WaveOne Motor (p<0.05). Conclusion: Reciprocating motors generate more vibration than conventional rotary motor. Further study about effect of vibration to dentist and patient is needed. And it seems to be necessary to make a standard about vibration level in endodontic motors.

• Journal of Biomedical Engineering Research
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• v.32 no.3
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• pp.230-236
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• 2011

The aim of this study was to investigate the alteration of lumbar spine and trunk postures on different load-carrying types and amounts under static loading. Two load-carrying types(unilateral carrying: UC vs. bilateral carrying: BC) and four different loads(0, 5, 10, and 15 kg) were randomly tested in this study. Carrying a heavy bag would affect human body posture, specifically lumbar spine curvature, which is considered as one of sources of back problems. Previous studies have not paid attention to the approach of the multisegment model of the lumbar spine and trunk. This study separated two compartments of trunk segment(the lumbar and thorax) in the analysis. The multisegment model of the lumbar spine in addition to Helen-Hayes marker set was used. Eight motion analysis cameras and a force plate were utilized. Ten male subjects(mean mass, $70.6{\pm}3.97$ kg; mean height, $178{\pm}4.18$ m) having no musculoskeletal disease participated in this study. We analyzed trunk angles in three anatomical planes and the spinal curvature in sagittal and frontal planes. Increased loading in both UC and BC significantly resulted in increases in trunk forward lean but only UC induced increases in trunk lateral lean. In addition, increased loading in BC produced flatten lumbar curvature in sagittal plane. As far as coupling motion, subjects tended to use axial rotation of the lumbar spine in transverse plane in response to increased UC loading. Finally, it is concluded that the increased static loading in UC rather than in BC tends to causes combined alterations of the spinal postures(sagittal and transverse planes together), which would be vulnerable to improper mechanical stresses on the spine.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2016.11a
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• pp.117-117
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• 2016

Total ankle replacement (TAR) is a visible option in the surgical treatment of degenerative or inflammatory diseases of ankle joint. it is attributed to the current TAR which has improvements in surgical technique, uncemented implant fixation and minimally constrained articulation. In the clinical result, they can show promised surgical result when compared to earlier attempts in TAR. However, TAR is still not as successful as total knee replacement (TKR) or total hip replacement (THR), it needs to be note that there are limitations in concerning of long term performance of TAR, the high failure rate still associated with wear of the PE (polyethylene) component that has related with their material property and surface roughness. The aim of this study was to introduce the tribology characteristics of total ankle joint prosthesis with one of TDR model which was fabricated to try multi-axis wear test as a region of motion in ankle joint. The wear specimen of TDR was prepared with Ti-6Al-4V alloy and UHMWPE (ultra-high molecular weight polyethylene) for tibia-talus and bearing component, respectively. A wear test was carried out using a Force 5 (AMTI, Massachusetts, US) wear simulator which can be allowed to move in three axis to flexion-extension ($+3^{\circ}{\sim}-6^{\circ}$), internal-external axial rotation (${\pm}5^{\circ}$), as well as sinusoidal compressive load (1.6 kN, R=10). All tests were performed following standard ISO 14243, wear rate was calculated with weight loss of UHMWPE bearing while the specimen has tested at certain cycles. As based on the preliminary results, wear rate of UHMWPE bearing was $7.9{\times}10^{-6}mg/cycles$ ($R^2=0.86$), calculated loss weight until $10^7cycles$ was 79 mg, respectively.

• Steel and Composite Structures
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• v.9 no.2
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• pp.131-158
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• 2009

This paper presents a modelling technique for the nonlinear analysis of composite steel-concrete beams with partial shear interaction. It extends the applicability of two stiffness elements previously derived by the authors using the direct stiffness method, i.e. the 6DOF and the 8DOF elements, to account for material nonlinearities. The freedoms are the vertical displacement, the rotation and the slip at both ends for the 6DOF stiffness element, as well as the axial displacement at the level of the reference axis for the 8DOF stiffness element. The solution iterative scheme is based on the secant method, with the convergence criteria relying on the ratios of the Euclidean norms of both forces and displacements. The advantage of the approach is that the displacement and force fields of the stiffness elements are extremely rich as they correspond to those required by the analytical solution of the elastic partial interaction problem, thereby producing a robust numerical technique. Experimental results available in the literature are used to validate the finite element proposed in the paper. For this purpose, those reported by Chapman and Balakrishnan (1964), Fabbrocino et al. (1998, 1999) and Ansourian (1981) are utilised; these consist of six simply supported beams with a point load applied at mid-span inducing positive bending moment in the beams, three simply supported beams with a point load applied at mid-span inducing negative bending moment in the beams, and six two-span continuous composite beams respectively. Based on these comparisons, a preferred degree of discretisation suitable for the proposed modelling technique expressed as a function of the ratio between the element length and depth is proposed, as is the number of Gauss stations needed. This allows for accurate prediction of the nonlinear response of composite beams.

• Journal of the Korean Society for Railway
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• v.17 no.4
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• pp.245-250
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• 2014

This paper, as a study for the serviceability design of railway bridges with concrete track, presents the effects of design parameters of tracks and bridges on the forces acting on the rail supports of the track. To calculate the forces acting on the track, an unequal spacing discrete supported model with different spacing of rail supports was induced. Design parameters are the rail support spacing of expansion joints above abutments or piers of bridges, the distance from the support of a girder to the last rail support on the end of the girder, and the number of additional rail supports. The causes of the displacement of track are axial force, unit vertical displacement, and unit rotation. From the analysis, the maximum compressive force and the maximum uplifting force acting on the rail supports were determined and the effects of the rail support spacing on the forces acting on the track were presented.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.26 no.1
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• pp.29-38
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• 2013

This paper deals with geometrical non-linear analyses of the tapered cantilever column subjected to the sub-tangential follower force at the free end. Cross-sections of the column whose flexural rigidities are functionally varied with the axial coordinate. The differential equations governing the elastica of such column are derived on the basis of the large deformation theory. These differential equations have three unknown parameters of the vertical and horizontal deflections and rotation at the free end. These differential equations are numerically solved by the iteration technique for obtaining three unknowns and elastica of the deformed column. For validating theories developed herein, laboratory scaled experiments are conducted.

• Journal of Korean Society of Steel Construction
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• v.20 no.1
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• pp.81-92
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• 2008

Generally the connection of members is defined as hinge or rigid. But, real joints on structure have to be considered semi-rigid connections because this permits relative rotation for members on joints. The purpose of this study is to derive a generalized tangential stiffness matrix of frames with semi-rigid connections and to develop a buckling analysis program. For the exact stiffness matrix, an accurate displacement field is introduced using an equilibrium equation for beam-columns under the bending and axial forces. Also, stability functions that consider sway deformation and force-displacement relations with rotational spring on ends were defined. In order to illustrate the accuracy of this study and the characteristics of semi-rigid for system buckling load, samples of angle-, portal- and 3-story frames with semi-rigid connections are presented, where the proposed approach is found to be in excellent agreement with other research results. Meanwhile, the application of codes such as Eurocode 3 and LRFD led to significant inaccuracies.

• Journal of Korean Society of Steel Construction
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• v.19 no.4
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• pp.383-393
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• 2007

A simplified model which incorporates the moment-axial tension interaction of the double-span beams in a column-removed steel frame is presented in this paper. To this end, material and geometric nonlinear parametric finite element analyses were conducted for the double-span beams by changing the beam span to depth ratio and the beam size within some practical ranges. The beam span to depth ratio was shown to be the most influential factor governing the catenary action of the double-span beams. Based on the parametric analysis results, a simplified piece-wise linear model which can reasonably describe the vertical resisting force versus the beam chord rotation relationship was proposed. It was also shown that the proposed method can readily be used for the energy-based progressive collapse analysis of steel moment frames.